| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.09 | $0.09 | $0.11 | |
Aetna
| Professional | $0.09 | $0.09 | $0.09 | |
Anthem BCBS
| Professional | $1.73 | $1.73 | $1.93 | |
Hometown Health
| Professional | $350.00 | $350.00 | $350.00 |
High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.09 | $0.09 | $0.11 | |
Aetna
| Professional | $0.09 | $0.09 | $0.09 | |
Anthem BCBS
| Professional | $1.73 | $1.73 | $1.93 | |
Hometown Health
| Professional | $350.00 | $350.00 | $350.00 |